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General NPI Number Information
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NPI Number | 1447503529
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Entity Type | Organization
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Legal Business Name | 2RKS
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 730 E MAIN ST
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City | BURNSVILLE
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State | NC
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Zip | 28714-3102
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Country | US
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Telephone | 828-678-3914
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Fax | 828-678-3945
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Provider Business Mailing Address
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Address Line | PO BOX 1420
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City | BURNSVILLE
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State | NC
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Zip | 28714-1420
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Country | US
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Telephone | 828-678-3914
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Fax | 828-678-3945
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MATTHEW D RAINES
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Credential | PHARM-D
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Telephone | 828-678-3914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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